What is the adductor canal? Why all this talk about an adductor canal block (ACB)? For years, femoral nerve blocks (FNB) have been the gold standard for pain control in more invasive knee/lower leg surgeries (total knees, ACLs, etc.). More recently, adductor canal blocks have been gaining in popularity over femoral nerve blocks because there

After A While by Veronica A. Shoffstall After a while you learn the subtle difference between holding a hand and chaining a soul And you learn that love doesn’t mean leaning and company doesn’t mean security. And you begin to learn that kisses aren’t contracts and presents aren’t promises And you begin to accept your

Back in residency, I had learned about the wonderful uses of ketamine for pain control…especially in patients with morbid obesity coming in for gastric bypass procedures. Ketamine worked wonderfully in these patients to decrease the amount of narcotic that could have bad side effects such as respiratory depression. Then, I got to thinking about CABGs

I happily went into anesthesia for the acute patient care, procedures, pharmacological/physiological immediate impact of my decision-making…. and no clinic visits. Today, I’m covering the acute pain service on call. My pager just went off for a consult. A patient who is about 3 weeks out from an abdominal procedure. This patient has been on